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Public Health Emergency Preparedness and Response Capabilities

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Public Health Emergency Preparedness and Response Capabilities National Standards for State, Local, Tribal, and Territorial Public Health Centers for Disease October 2018 Control and Prevention Center for Preparedness Updated January 2019 and Response Table of Contents Introduction . 1. Public Health Emergency Preparedness Cooperative Agreement Program..........................2 Capability Update Initiative ....................................................................3 Using the Capability Standards for Strategic Planning . .7 Public Health Emergency Preparedness and Response Capabilities Planning Model .................7 Phase 1: Assess Current State ...................................................................8 Phase 2: Determine Strategies and Activities.....................................................9 Phase 3: Develop Plans........................................................................10 At-A-Glance: Capability Definitions, Functions, and Summary of Changes . .11 Capability 1: Community Preparedness.........................................................11 Capability 2: Community Recovery.............................................................12 Capability 3: Emergency Operations Coordination ..............................................12 Capability 4: Emergency Public Information and Warning ........................................13 Capability 5: Fatality Management ............................................................13 Capability 6: Information Sharing ..............................................................14 Capability 7: Mass Care .......................................................................14 Capability 8: Medical Countermeasure Dispensing and Administration ............................15 Capability 9: Medical Materiel Management and Distribution ....................................15 Capability 10: Medical Surge ..................................................................16 Capability 11: Nonpharmaceutical Interventions.................................................16 Capability 12: Public Health Laboratory Testing .................................................17 Capability 13: Public Health Surveillance and Epidemiological Investigation .......................17 Capability 14: Responder Safety and Health ....................................................18 Capability 15: Volunteer Management..........................................................18 U.S. Department of Health and Human Services Public Health Emergency Preparedness and Response Capabilities: Centers for Disease Control and Prevention National Standards for State, Local, Tribal, and Territorial Public Health iii Table of Contents Capability 1: Community Preparedness . 19 Function 1: Determine risks to the health of the jurisdiction..................................... 20 Function 2: Strengthen community partnerships to support public health preparedness .......... 22 Function 3: Coordinate with partners and share information through community social networks ..............................................................................24 Function 4: Coordinate training and provide guidance to support community involvement with preparedness efforts ....................................................... 25 Capability 2: Community Recovery . 27. Function 1: Identify and monitor community recovery needs . 28 Function 2: Support recovery operations for public health and related systems for the community .......................................................................... 29 Function 3: Implement corrective actions to mitigate damage from future incidents ...............32 Capability 3: Emergency Operations Coordination . 34 Function 1: Conduct preliminary assessment to determine the need for activation of public health emergency operations ....................................................... 34 Function 2: Activate public health emergency operations....................................... 36 Function 3: Develop and maintain an incident response strategy ................................ 39 Function 4: Manage and sustain the public health response..................................... 39 Function 5: Demobilize and evaluate public health emergency operations ........................41 Capability 4: Emergency Public Information and Warning . .43 . Function 1: Activate the emergency public information system.................................. 43 Function 2: Determine the need for a Joint Information System . 46 Function 3: Establish and participate in information system operations ...........................47 Function 4: Establish avenues for public interaction and information exchange................... 48 Function 5: Issue public information, alerts, warnings, and notifications.......................... 50 Capability 5: Fatality Management . 52 Function 1: Determine the public health agency role in fatality management .....................53 Function 2: Identify and facilitate access to public health resources to support fatality management operations...............................................................55 Function 3: Assist in the collection and dissemination of antemortem data ....................... 58 Function 4: Support the provision of survivor mental/behavioral health services...................59 Function 5: Support fatality processing and storage operations ................................. 60 Public Health Emergency Preparedness and Response Capabilities: U.S. Department of Health and Human Services iv National Standards for State, Local, Tribal, and Territorial Public Health Centers for Disease Control and Prevention Table of Contents Capability 6: Information Sharing . 62 Function 1: Identify stakeholders that should be incorporated into information flow and define information sharing needs ................................................... 63 Function 2: Identify and develop guidance, standards, and systems for information exchange ....................................................................... 64 Function 3: Exchange information to determine a common operating picture .....................67 Capability 7: Mass Care . 70 Function 1: Determine public health role in mass care operations ................................71 Function 2: Determine mass care health needs of the impacted population ...................... 72 Function 3: Coordinate public health, health care, and mental/behavioral health services ..........75 Function 4: Monitor mass care population health .............................................. 78 Capability 8: Medical Countermeasure Dispensing and Administration . 80 Function 1: Determine medical countermeasure dispensing/administration strategies..............81 Function 2: Receive medical countermeasures to be dispensed/administered..................... 84 Function 3: Activate medical countermeasure dispensing/administration operations.............. 86 Function 4: Dispense/administer medical countermeasures to targeted population(s) ............. 88 Function 5: Report adverse events . 90 Capability 9: Medical Materiel Management and Distribution . 92 Function 1: Direct and activate medical materiel management and distribution .................. 93 Function 2: Acquire medical materiel from national stockpiles or other supply sources ............ 97 Function 3: Distribute medical materiel ....................................................... 99 Function 4: Monitor medical materiel inventories and medical materiel distribution operations ..................................................................... 100 Function 5: Recover medical materiel and demobilize distribution operations ................... 101 Capability 10: Medical Surge . 103 Function 1: Assess the nature and scope of the incident ....................................... 104 Function 2: Support activation of medical surge .............................................. 106 Function 3: Support jurisdictional medical surge operations ................................... 109 Function 4: Support demobilization of medical surge operations ................................110 U.S. Department of Health and Human Services Public Health Emergency Preparedness and Response Capabilities: Centers for Disease Control and Prevention National Standards for State, Local, Tribal, and Territorial Public Health v Table of Contents Capability 11: Nonpharmaceutical Interventions . 112. Function 1: E ngage partners and identify factors that impact nonpharmaceutical interventions ...............................................................................113 Function 2: Determine nonpharmaceutical interventions . .114 Function 3: Implement nonpharmaceutical interventions .......................................115 Function 4: Monitor nonpharmaceutical interventions..........................................118 Capability 12: Public Health Laboratory Testing . 120 Function 1: C onduct laboratory testing and report results . 121 Function 2: Enhance laboratory communications and coordination ..............................124 Function 3: Support training and outreach ....................................................126 Capability 13: Public Health Surveillance and Epidemiological Investigation . 128 Function 1: C onduct or support public health surveillance ..................................... 129 Function 2: Conduct public health and epidemiological investigations ..........................132 Function 3: Recommend, monitor, and analyze mitigation actions ...............................135
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